CMS Price Transparency Data

Speech therapy (group session)

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $266
  • Cash Discount Price: $310
  • vs. Medicare Baseline: 11.06x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Mercy Health Rehabilitation Hospital is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 11.06x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.
Cash / Self-Pay
$310

Average discount available for prompt cash payment at this facility.

Insurance Median
$266

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$24.05

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $24.05 (100%)
Cash / Self-Pay: $310 (1289%)
Insurance Median: $266 (1106%)
Cash: $310 (1289% of Medicare)
Ins. Median: $266 (1106% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $24.05 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1106% of the Medicare baseline (a markup of 1006%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medical Mutual Nas $52 - $200 216%
Aultcare $64 - $248 266%
Multiplan $79 - $307 328%
Aetna $94 - $365 391%
Ambetter / Centene $94 - $365 391%
Blue Cross Blue Shield $94 - $365 391%
Caresource Exchange $94 - $365 391%
Cigna $94 - $365 391%
Devoted $94 - $365 391%
Highmark Ppo Commercial $94 - $365 391%
Highmark Ppo Exchange $94 - $365 391%
Humana $94 - $365 391%
Medicaid / KanCare $94 - $365 391%
Medical Mutual Exchange $94 - $365 391%
Medical Mutual Medflex $94 - $365 391%
Medical Mutual New Biz $94 - $365 391%
Medical Mutual Supermed Commercial $94 - $365 391%
Medical Mutual Traditional Commercial $94 - $365 391%
Medicare (plans) $94 - $365 391%
Molina Exchange $94 - $365 391%
UnitedHealthcare $94 - $365 391%
Upmc $94 - $365 391%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3180 Belmont Ave, Youngstown, OH 44505
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL